ASRM mu euro llerian anomalies classification 2021

被引:184
作者
Pfeifer, Samantha M. [1 ]
Attaran, Marjan [1 ]
Goldstein, Jessica [1 ]
Lindheim, Steven R. [1 ]
Petrozza, John C. [1 ]
Rackow, Beth W. [1 ]
Siegelman, Evan [1 ]
Troiano, Robert [1 ]
Winter, Thomas [1 ]
Zuckerman, Andrea [1 ]
Ramaiah, Sarah D. [1 ]
机构
[1] 1209 Montgomery Highway, Birmingham, AL 35216 USA
关键词
CLINICAL CHARACTERISTICS; OBSTRUCTED HEMIVAGINA; UTERUS;
D O I
10.1016/j.fertnstert.2021.09.025
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
There are many proposed classification systems for mueurollerian anomalies. The American Fertility Society (AFS) Classification from 1988 has been the most recognized and utilized. The advantages of this iconic classification include its simplicity, recognizability, and cor-relation with clinical pregnancy outcomes. However, the AFS classification has been criticized for its focus primarily on uterine anom-alies, with exclusion of those of the vagina and cervix, its lack of clear diagnostic criteria, and its inability to classify complex aberrations. Despite this classification and others, the wide range of mueurollerian anomalies is still largely unknown and confusing to many providers. Consequently, mueurollerian anomalies may go undiagnosed for extended periods, receive inappropriate or inadequate surgical interventions, and result in persistent issues such as pain or loss of reproductive function. The American Society for Reproduc-tive Medicine Task Force on Mueurollerian Anomalies Classification was formed and charged with designing a new classification. The Task Force set goals for a new classification and chose to base it on the iconic AFS classification from 1988 because of its simplicity and recognizability, while expanding and updating it to include all categories of anomalies. In addition, this was recognized as an oppor-tunity to raise awareness of this area of medicine, educate providers and learners, and promote patient advocacy. Presented here is the new American Society for Reproductive Medicine Mueurollerian Anomalies Classification 2021. ((C) 2021 by American Society for Reproductive Medicine.)
引用
收藏
页码:1238 / 1252
页数:15
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